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Paresis associated with aconuresis caused by intervertebral disc calcification at c7-t1: a case report and review of the literature.
Spine (Phila Pa 1976). 2010 May 01; 35(10):E434-9.S

Abstract

STUDY DESIGN

Case report.

OBJECTIVE

To report a case of a 19-year-old boy with intervertebral disc calcification (IDC) at C7-T1, who presented with paresis and aconuresis. Surgical outcome was assessed.

SUMMARY OF BACKGROUND DATA

IDC, commonly seen in the cervical spine region in children, is well-known as a self-limiting disorder with no or little symptoms. Surgical intervention is usually not required.

METHODS

A 19-year-old boy presented with acute back pain, progressive numbness, and weakness of both lower extremities and aconuresis for 1 week. There was no traumatic history or signs of infection. Radiograph, computed tomography with reconstruction, and magnetic resonance imaging revealed C7-T1 IDC with severe spinal cord compression. Decompression with anterior cervical corpectomy and fusion was performed.

RESULTS

Follow-up showed complete resolution of the back pain and complete recovery of motor power and sensory function in both lower extremities and return of normal micturition function. The patient had full recovery with no complications.

CONCLUSION

Serious neurologic deficit, especially a bladder dysfunction, caused by calcified intervertebral disc is rare. However, favorable outcome can be achieved in those cases where rapid diagnosis is made and followed by spinal cord decompression.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Changzheng Hospital, No. 415 Feng Yang Road, Shanghai, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20393391

Citation

Yang, Hai-Song, et al. "Paresis Associated With Aconuresis Caused By Intervertebral Disc Calcification at C7-t1: a Case Report and Review of the Literature." Spine, vol. 35, no. 10, 2010, pp. E434-9.
Yang HS, Chen DY, Yuan W, et al. Paresis associated with aconuresis caused by intervertebral disc calcification at c7-t1: a case report and review of the literature. Spine. 2010;35(10):E434-9.
Yang, H. S., Chen, D. Y., Yuan, W., Yang, L. L., Tsai, N., & Lin, Q. S. (2010). Paresis associated with aconuresis caused by intervertebral disc calcification at c7-t1: a case report and review of the literature. Spine, 35(10), E434-9. https://doi.org/10.1097/BRS.0b013e3181c71ebe
Yang HS, et al. Paresis Associated With Aconuresis Caused By Intervertebral Disc Calcification at C7-t1: a Case Report and Review of the Literature. Spine. 2010 May 1;35(10):E434-9. PubMed PMID: 20393391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Paresis associated with aconuresis caused by intervertebral disc calcification at c7-t1: a case report and review of the literature. AU - Yang,Hai-Song, AU - Chen,De-Yu, AU - Yuan,Wen, AU - Yang,Li-Li, AU - Tsai,Nick, AU - Lin,Qiu-shui, PY - 2010/4/16/entrez PY - 2010/4/16/pubmed PY - 2010/8/3/medline SP - E434 EP - 9 JF - Spine JO - Spine VL - 35 IS - 10 N2 - STUDY DESIGN: Case report. OBJECTIVE: To report a case of a 19-year-old boy with intervertebral disc calcification (IDC) at C7-T1, who presented with paresis and aconuresis. Surgical outcome was assessed. SUMMARY OF BACKGROUND DATA: IDC, commonly seen in the cervical spine region in children, is well-known as a self-limiting disorder with no or little symptoms. Surgical intervention is usually not required. METHODS: A 19-year-old boy presented with acute back pain, progressive numbness, and weakness of both lower extremities and aconuresis for 1 week. There was no traumatic history or signs of infection. Radiograph, computed tomography with reconstruction, and magnetic resonance imaging revealed C7-T1 IDC with severe spinal cord compression. Decompression with anterior cervical corpectomy and fusion was performed. RESULTS: Follow-up showed complete resolution of the back pain and complete recovery of motor power and sensory function in both lower extremities and return of normal micturition function. The patient had full recovery with no complications. CONCLUSION: Serious neurologic deficit, especially a bladder dysfunction, caused by calcified intervertebral disc is rare. However, favorable outcome can be achieved in those cases where rapid diagnosis is made and followed by spinal cord decompression. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/20393391/Paresis_associated_with_aconuresis_caused_by_intervertebral_disc_calcification_at_c7_t1:_a_case_report_and_review_of_the_literature_ L2 - http://dx.doi.org/10.1097/BRS.0b013e3181c71ebe DB - PRIME DP - Unbound Medicine ER -